二期手术时种植体周围角化黏膜增量的专家共识
Expert consensus on peri-implant keratinized mucosa augmentation at second-stage surgery.
作者信息
Zhang Shiwen, Sheng Rui, Fan Zhen, Wang Fang, Di Ping, Shi Junyu, Zou Duohong, Li Dehua, Zhang Yufeng, Chen Zhuofan, Yang Guoli, Geng Wei, Wang Lin, Zhang Jian, Huang Yuanding, Zhao Baohong, Tang Chunbo, Wu Dong, Xu Shulan, Yang Cheng, Mou Yongbin, He Jiacai, Yang Xingmei, Tan Zhen, Cai Xiaoxiao, Chen Jiang, Lai Hongchang, Wang Zuolin, Yuan Quan
机构信息
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Shanghai Engineering Research Center of Tooth Restoration and Regeneration & Tongji Research Institute of Stomatology & Department of implantology, Shanghai Tongji Stomatological Hospital and Dental School, Tongji University, Shanghai, China.
出版信息
Int J Oral Sci. 2025 Jun 19;17(1):51. doi: 10.1038/s41368-025-00379-3.
Peri-implant keratinized mucosa (PIKM) augmentation refers to surgical procedures aimed at increasing the width of PIKM. Consensus reports emphasize the necessity of maintaining a minimum width of PIKM to ensure long-term peri-implant health. Currently, several surgical techniques have been validated for their effectiveness in increasing PIKM. However, the selection and application of PIKM augmentation methods may present challenges for dental practitioners due to heterogeneity in surgical techniques, variations in clinical scenarios, and anatomical differences. Therefore, clear guidelines and considerations for PIKM augmentation are needed. This expert consensus focuses on the commonly employed surgical techniques for PIKM augmentation and the factors influencing their selection at second-stage surgery. It aims to establish a standardized framework for assessing, planning, and executing PIKM augmentation procedures, with the goal of offering evidence-based guidance to enhance the predictability and success of PIKM augmentation.
种植体周围角化黏膜（PIKM）增宽术是指旨在增加PIKM宽度的外科手术。共识报告强调保持PIKM最小宽度对于确保种植体周围长期健康的必要性。目前，已有几种外科技术被证实可有效增加PIKM。然而，由于手术技术的异质性、临床情况的差异以及解剖学差异，PIKM增宽方法的选择和应用可能给牙科医生带来挑战。因此，需要关于PIKM增宽的明确指导方针和注意事项。本专家共识聚焦于PIKM增宽常用的外科技术以及二期手术中影响其选择的因素。其目的是建立一个用于评估、规划和实施PIKM增宽手术的标准化框架，以期提供循证指导，提高PIKM增宽的可预测性和成功率。
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